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Individual

CHARLES M TERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2381 LAWRENCEVILLE RD, LAWRENCEVILLE, NJ 08648
(609) 896-8152
(609) 896-4107
Mailing address
2381 LAWRENCEVILLE RD, LAWRENCEVILLE, NJ 08648
(609) 896-8152
(609) 896-4107

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA67942
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7785305
NJ
Enumeration date
10/19/2006
Last updated
07/08/2007
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